How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,621.81 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,621.81 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,621.81 | $1,621.81 | $2,884.03 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,760.83 Median $8,912.51 Typical High $18,197.01 | Facility | None | $6,760.83 | $8,912.51 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,801.89 Typical High $4,168.69 | Professional | None | $3,311.31 | $3,801.89 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $4,365.16 | Facility | None | $478.63 | $977.24 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $13,182.57 | Professional | None | $2,089.30 | $3,981.07 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,388.44 | $3,890.45 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $5,754.40 | Professional | None | $2,951.21 | $4,265.80 | $5,754.40 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $4,677.35 | Professional | None | $2,089.30 | $3,467.37 | $4,677.35 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $1,445.44 | Professional | 52 · Reduced service | $812.83 | $812.83 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $575.44 | Professional | 53 · Discontinued | $323.59 | $323.59 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $288.40 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $2,041.74 |
Where Nebraska sits
The same service costs 22.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 7th of 51
$3,631
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.